JVC Pre-Event COVID Screen
For the health and safety of yourself, teammates and coaches, please answer all these questions honestly. Please stay home if you are sick or experiencing any symptoms.
Your Name (First and Last) *
Today's Date (Form should be filled out the day of practice, do not fill out for future dates) *
MM
/
DD
/
YYYY
Juniors Club *
Team Name (Always enter team name as shown: 151, 15E(15-Elite), 15N (15-National), 15B (15-Blue)... *
Are you currently experiencing any COVID symptoms in the last 48 hours? *
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